a Year of StorieS - McLean Hospital · to take the next step. Fortunately, while I was coming to this realization, McLean was performing a national search for an assistant professor

a Year of StorieS

2013 Annual Report

2 McLean Hospital 2013 Annual Report

a Year of StorieS

4 MeSSage from the PreSident

and ChairMan of the Board

6 CollaBorationS draw

top reSearCh leaderS to MClean

8 MaStering anxiety diSorderS

10 reaChing more PeoPle

by tranSforMing MClean SoutheaSt

12 ProMoting wellneSS for girlS and woMen

14 eduCating the next generation

16 MClean leaderS draw aCColadeS

18 endowed Chair ProvideS reSourCeS

to deliver on MClean’S MiSSion

19 the MarY BelknaP SoCietY

20 waYS to give

21 2013 finanCialS

22 MClean leaderShiP

OUR MISSIONMcLean Hospital is dedicated to improving the lives of people and families

affected by psychiatric illness. McLean pursues this mission by:

Providing the highest quality compassionate, specialized and effective clinical care, in partnership with those whom we serve;

Conducting state-of-the-art scientific investigation to maximize discovery and accelerate translation of findings towards achieving prevention and cures;

Training the next generation of leaders in psychiatry, mental health and neuroscience;

Providing public education to facilitate enlightened policy and eliminate stigma.

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From left: Scott L. Rauch, MD, president and psychiatrist in chief, and David S. Barlow, chairman of the board


StorieS of CoMPaSSion, innovation and dediCation

Each of us has a story about who we are, the experiences that helped shape us and what moved us to be a part of the McLean community. Some of us have witnessed firsthand the pain, fear and uncertainty experienced by a loved one with psychiatric illness. Others have seen how stigma can be a caustic deterrent from preventing people from seeking psychiatric care. Each of us has been motivated by different circumstances, but despite the varied paths that led us to McLean, there is one common denominator—our collective drive to accomplish McLean’s mission of improving the lives of people with psychiatric illness and their families.

In 2013, we made great strides in fulfilling that mission—growing clinical programs, strengthening research, and increasing educational outreach to professionals, patients and families. As a team we have made meaningful progress, and through our expansion of services and our work in the community, we continue to respond to the needs of patients and families across Massachusetts and around the globe.

In this 2013 Annual Report, aptly titled A Year of Stories, you will meet a sampling of our dedicated team who make up the fabric of McLean. On the following pages, you will read their compelling stories, including these:

n Despite coming from very different places geographically, two of the world’s most esteemed neuroscientists—Vadim Bolshakov, PhD, and Uwe Rudolph, Dr med—found opportunity half the world away in the very same place: McLean Hospital.

n Through treatment, research and education that appreciate the biological, sociocultural and environmental factors that are unique to

women, Shelly F. Greenfield, MD, MPH, and the clinicians within the Division of Women’s Mental Health are promoting wellness for girls and women throughout the life span.

n As the newly named directors of the Massachusetts General Hospital (MGH)/McLean Hospital Adult Psychiatry Residency Program and the MGH/McLean Child and Adolescent Psychiatry Residency Program, Felicia Smith, MD, and David Rubin, MD, are dedicated to providing unparalleled training and guidance to tomorrow’s psychiatric leaders.

n The McLean Anxiety Mastery Program is one of only a handful of programs in the country to provide intensive and evidence-based treatment for youths suffering from debilitating anxiety disorders.

n United States President Barack Obama recently called for a national dialogue about mental health. In support of the president’s charge, McLean Hospital launched its first social media campaign with the goal of encouraging more public conversation about mental health and reducing the stigma with which it is often associated.

n Rose-Marie and Eijk van Otterloo want to make a difference in the lives of people with psychiatric illness. Through their continued support of McLean Hospital, including making a generous gift to establish the Rose-Marie and Eijk van Otterloo Endowed Chair of Psychiatry at McLean Hospital, they are doing just that.

As you read A Year of Stories, we hope that you will be inspired by the clinicians, researchers, educators, donors, faculty and staff who have committed their lives to delivering on the mission of McLean Hospital.

Dear Friends,

McLean Hospital 2013 Annual Report 5

David S. BarlowChairman of the Board

Scott L. Rauch, MDPresident and Psychiatrist in Chief

With warmest regards,

Despite coming from very different places geographically, two of the world’s most esteemed neuroscientists found opportunity half the world away in the very same place: McLean Hospital.

As a graduate student at the Russian Academy of Sciences in St. Petersburg, Russia, Vadim Bolshakov, PhD, could not have predicted that his career path would lead him out of his home country to America. In fact, before accepting a postdoctoral position at Columbia University, Bolshakov had never even visited the United States.

“I was excited at the prospect of working at Columbia, where I could develop and possibly flourish under the mentorship of Dr. Steven Siegelbaum,” said Bolshakov. “After six years there, having published several high-profile papers, I knew that I was ready to take the next step. Fortunately, while I was coming to this realization, McLean was performing

a national search for an assistant professor and invited me to interview. The rest is history.”

In 1997, Bolshakov made the move to McLean, where he founded the Cellular Neurobiology Laboratory, and today is considered one of the world’s foremost psychiatric neuroscientists.

“McLean has offered me many opportunities to expand my research and to collaborate with colleagues both within the hospital and globally,” said Bolshakov, whose influential work has advanced the understanding of fear mechanisms in the brain and how they influence conditions such as post-traumatic stress disorder and anxiety. “Collaboration is an integral part of research because it allows us to build off of one another’s strengths in order to produce results that have great implications for the scientific community.”

From left: Vadim Bolshakov, PhD, and Uwe Rudolph, Dr med


CollaBorationS draw top reSearCh leaderS to MClean

“We are working together in order to advance our knowledge of the brain, and such advances may ultimately help to improve people’s lives,” said Uwe Rudolph, Dr med, director of the Laboratory of Genetic Neuropharmacology at McLean. “Today, most successful research is teamwork. My junior colleagues in the lab put in countless hours, doing all the experimental work and making valuable intellectual contributions.”

Like Bolshakov, Rudolph could have never predicted he would someday be one of McLean Hospital’s leading investigators. His path to Belmont started in Germany, where he completed both medical school and a research thesis in molecular pharmacology before receiving postdoctoral research training at Houston’s Baylor College of Medicine’s Department of Cell Biology. It was at Baylor, under the mentorship of Lutz Birnbaumer, PhD, that he was first able to combine his medical background with his newly acquired skills in mouse molecular genetics.

His unique skills led him to the University of Zürich in Switzerland, where he applied the techniques he learned at Baylor to neuroscience.

“In Zürich, I was fortunate to land in a highly collaborative environment with excellent institutional resources that enabled me to pursue an untested and thus high-risk approach to generate new knowledge relevant for future drug development,” explained Rudolph.

Rudolph was recruited to McLean in 2005. His pioneering and innovative research on the functions of specific neurotransmitter receptor subtypes in the brain has led to important advances in designing novel therapeutic approaches to treat numerous disorders or conditions. Strategies based on research by Rudolph and colleagues to treat anxiety, spasticity and chronic pain are currently being pursued by the pharmaceutical industry.

In recent years, both Bolshakov and Rudolph have been recognized for their contributions to McLean, Harvard Medical School and the science community by being named professors of psychiatry by Harvard Medical School. Bolshakov was honored in 2012, while Rudolph was promoted in 2013.

Raquel Espinosa, director, McLean Hospital Research Administration Department

Inspiring hope through researchAs a trained certified public accountant (CPA),

Raquel Espinosa followed a unique path to McLean,

where she oversees the hospital’s Research

Administration Department. However, the detail-

oriented work involved in becoming a CPA turns out

to have been a perfect training ground for Espinosa,

who uses her love of numbers and details each day

to provide infrastructural support for the hospital’s

66 laboratories and 388 research scientists and staff.

Although she lived in the United States for the

first 10 years of her life, Espinosa spent the next

17 years living in Uruguay, a small South American

country located between Brazil and Argentina.

After becoming a CPA, she moved back to America

the week following graduation and quickly found

her calling while working at Tufts Medical Center.

“From Tufts, I moved to Massachusetts General

Hospital, where I was given opportunities to learn

and grow. I was able to hone my skills and better

understand the needs of researchers and how to help

them,” she said. “I discovered a passion for research

and the hope that it inspires.”

Espinosa joined the McLean team in 2009 as a per

diem employee and quickly became an invaluable

resource to the research community. In 2011, she was

promoted to director of Research Administration—

a position she takes great pride in holding.

“McLean has outstanding researchers and there

are so many opportunities to make a difference by

simplifying the administrative burden

on scientists,” said Espinosa. “I am

passionate about what I do because

I believe in McLean’s mission.

While there are some challenges

that are harder than others, we

work as a team to overcome

obstacles, knowing that our

results will directly impact

our research community.”


Established in 2013, the McLean Anxiety Mastery Program (MAMP) is one of only a handful of programs in the country to provide intensive and evidence-based treatment for anxious youth. The program offers treatment for children and adolescents, ages 9 to 18, who suffer from social anxiety disorder, separation anxiety disorder, panic disorder, specific phobia(s) and obsessive compulsive disorder. During intensive treatment, children and adolescents participate in group-based cognitive behavior therapy (CBT) with an emphasis on exposure and response prevention. Also central to the treatment are family work, parent guidance groups, psychopharmacology, and collaboration with schools and outpatient providers.

The brainchild of Jacqueline Sperling, PhD, Kathryn Dingman Boger, PhD, and Mona Potter, MD, the program was developed to address the gap in available community treatment that would allow students to attend school and participate in intensive therapy.

“We developed the Anxiety Mastery Program because we recognized that many children need more than once-a-week treatment that specifically addresses their anxiety, in addition to having opportunities to practice skills at home and at school on a regular basis,” said Sperling.

From left: Kathryn Dingman Boger, PhD, Mona Potter, MD, and Jacqueline Sperling, PhD


MaStering anxiety diSorderS

Participating children and adolescents attend the program every weekday afternoon after school for at least a month. “The idea behind providing intensive treatment over a shorter duration is to promote rapid progress. We want to get students back on track and re-engaging with the various aspects of their lives more quickly,” explained Boger, who serves as the program director.

In addition to focusing on clinical care, Sperling, Boger and Potter are deeply committed to advancing education and research through MAMP. The trio has developed and implemented an intensive CBT training course and established a weekly brown bag seminar for trainees and clinicians looking to learn

more about CBT and anxiety disorders. Additionally, in collaboration with Courtney Beard Elias, PhD, a research psychologist at McLean Hospital, the MAMP team is in the process of launching a research project that will examine the effectiveness of various components of treatment. The program’s research goals are to inform and improve the quality of care within the program and to disseminate the findings.

“Our hope is that by aligning with McLean’s mission of emphasizing clinical work, training and research, we will be able to provide the best care possible for anxious children and adolescents,” said Potter.

Andrew Healy, director, McLean Hospital Facilities Department

With the hustle and bustle of day-to-day clinical

work and treatment taking place, few patients

and visitors pay close attention to the details

that Andrew Healy, director of McLean Hospital’s

Facilities Department, toiled over for months

while a hospital program was being constructed.

Ensuring that every detail is attended to in

order to make McLean programs comfortable,

aesthetically pleasing and state of the art

keeps Healy and his team awake at night.

“From the moment we are asked to renovate

a building or an area for clinical, research or

educational use, our number one priority is

always to create the best environment possible

for McLean patients, their families and the

hospital staff,” said Healy,

a native of Sligo, Ireland,

who has overseen more

than 75 major construction

projects at McLean during

his 40-year tenure.

“While I don’t treat

patients, conduct

research or educate

trainees, the work

of the Facilities team

plays a major role in helping the hospital achieve

its mission. That is something I am very proud of.”

Healy’s latest project—renovating space on the

campus of Sancta Maria Hospital in Cambridge—

allowed McLean to relocate its child and

adolescent outpatient program. Made possible

by an anonymous donation, the relocation

has allowed the hospital to expand its 3East

dialectical behavior therapy (DBT) program to

provide outpatient care for adolescents and

college-age patient populations, in addition

to DBT training for clinicians. Sancta Maria is

also home to a new program for children with

anxiety and obsessive compulsive disorders.

“As McLean responds to the urgent needs of

youth and families in distress, we create new

programs and then adapt and expand them,”

said Joseph Gold, MD, McLean’s chief medical

officer and chief of the Nancy and Richard

Simches Division of Child and Adolescent

Psychiatry. “The renovated space at Sancta Maria

has provided us with a tremendous opportunity

to grow our outpatient services profile and

to provide care in new and exciting ways.”

Building for the future


On a quiet cul-de-sac nestled in the small town of Middleborough, Massachusetts, McLean Hospital has transformed a former nursing home into a cutting-edge psychiatric care facility.

The site is the new home to McLean SouthEast (MSE), the most comprehensive program serving adults, children and adolescents in southeastern Massachusetts. Not only is the building visually appealing, it is equipped with the latest safety features recommended for psychiatric hospitals by the Joint Commission, an independent, not-for-profit organization that accredits and certifies health care organizations and programs in the United States.

MSE moved from Brockton to Middleborough in January 2014 after extensive renovations were completed. The remodel allowed for in-depth input from the clinical teams on how the space could be modified to enhance the patient care experience.

“Having the ability to play such an active role in designing the physical makeup of the program gave us the opportunity to think more strategically about how we use the space and how we can maximize efficiency,” said Mark Longsjo, MSW, LICSW, program director for the MSE adult and partial hospital programs. “In addition, we also incorporated the latest safety features into the building, making MSE a truly state-of-the-art facility.”

One example of how the staff of MSE influenced the final design of the program is the open construction inside the Adolescent Residential Treatment (ART) program.

“Instead of the traditional nursing station with windows serving as a separator from the unit, we opted to go with an open model in order to facilitate more interaction and communication between our staff and patients,” explained Mark Picciotto, PhD, program

From left: Mark Picciotto, PhD, Richard Silva and Mark Longsjo, MSW, LICSW


reaChing more PeoPle by tranSforMing MClean SoutheaSt

director for the ART program at MSE. “We were very focused on creating an inclusive, warm and welcoming environment for patients, visitors and staff.”

In addition to the new safety features and the program-specific design, the size of the building has allowed MSE to expand its services.

“We spent an extensive amount of time searching for a building that would allow us to grow the program as we continue to meet the increasing need for mental health care in the southeast region,” said Richard Silva, provider relations manager for MSE. “This space is allowing us to achieve our mission of delivering services to a part of Massachusetts where there is a dearth of mental health care providers.”

Thanks to the new building and its modern renovations, MSE has been able to increase

its adult inpatient program from 25 to 30 beds. In addition, MSE was able to expand its capabilities to accommodate more child, adolescent and adult partial hospital patients.

According to McLean’s Executive Vice President and Chief Operating Officer Michele Gougeon, MSS, MSc, who spearheaded the move to Middleborough and oversaw the regulatory approvals and renovations, MSE is now a prototype for other programs.

“This is an exciting development for McLean, as it allows us to showcase our commitment to innovation and to setting standards for hospital programs,” said Gougeon. “The work completed at MSE will serve as a model for future renovations and program development throughout McLean.”


Kathryn McHugh, PhD, is determined to increase

access to quality mental health care for people

in need. Through her research to improve

the effectiveness of behavioral therapies and

innovative treatment delivery models, such

as computer-based treatments, she hopes to

address the public health crisis of untreated

mental illness across the United States.

“I have seen how effective behavioral therapy

can be and how it can transform a person’s

life,” said McHugh, associate psychologist

in the Division of Alcohol and Drug Abuse.

“When I started diving deeper into public

health statistics, and speaking with people who

struggled to access effective care, I realized that

effective treatment was not readily available

to the vast majority of those who need it.”

Upon joining McLean, McHugh set out to

identify methods that would bring much-needed

behavioral therapy to a larger audience by

developing and testing behavioral treatments

that may be more easily disseminated, while

also being actively involved in training providers

to better identify and treat mental illness.

In a recent paper published in the Journal

of Clinical Psychiatry, McHugh and her

colleagues reported that 75 percent of

patients interviewed preferred psychological

talk therapy to medications for the

treatment of anxiety and depression.

“People reported that they would prefer

psychological or talk therapy

at a rate of 3-to-1,” said

McHugh. “Studies like these

are important—improving

the availability of evidence-

based treatments that

are in line with patient

preferences will likely

lead to both more

accessible and more

effective mental

health care.”

Increasing access to care through innovation

Kathryn McHugh, PhD

From left: Milissa Kaufman, MD, PhD, Shelly F. Greenfield, MD, MPH, Amy Gagliardi, MD, and Lois Choi-Kain, MD

ProMoting wellneSS for girlS and woMen


In 2013, McLean launched the Division of Women’s Mental Health (DWMH) under the leadership of Chief Academic Officer Shelly F. Greenfield, MD, MPH, whose vision is to enhance opportunities for clinical, research and educational collaborations across McLean that will improve the understanding of women’s mental health and provide better care for the disorders that are prevalent in women.

Through treatment, research and education that appreciate the biological, sociocultural and environmental factors that are unique to women, Greenfield and the clinicians within the DWMH are promoting wellness for girls and women throughout the life span.

“The divisional structure allows us to treat women more holistically and encourages cross-collaboration among programs,” said Amy Gagliardi, MD, medical director for the Gunderson Outpatient Program. Gagliardi noted that her program, which typically

treats women ages 18 to 30 with borderline personality disorder, offers treatment for women who are reentering the workforce, going to college or working in the community but still need intensive treatment and support as they rebuild their lives.

As the medical director for the Hill Center for Women, a program for women with histories of trauma and related disorders, Milissa Kaufman, MD, PhD, is using opportunities afforded by the division to not only advance clinical care but to conduct research into the neurobiological basis of dissociation in women with trauma-spectrum disorders.

“The overall goal of my research is to identify the biological mechanisms of dissociation in two related but distinct clinical syndromes: post-traumatic stress disorder and dissociative identity disorder, and to explore possible biomarkers using genetics

and neuroimaging that might help predict patterns of risk and resilience in clinical populations exposed to trauma,” said Kaufman.

Training is equally vital to the DWMH. Lois Choi-Kain, MD, medical and program director for McLean Gunderson, in partnership with John Gunderson, MD, director of Psychosocial and Personality Research, has developed the Borderline Personality Disorder Training Institute to educate other clinicians around the world about personality disorders and the most effective methods of treatment.

“We know that borderline personality disorder (BPD) is prevalent across the United States, but there are few clinicians who have the expertise to treat it,” said Choi-Kain. “Through the Institute, we are giving clinicians the tools to better diagnose and treat

BPD in their patients before the illness becomes so acute that it requires repeated hospitalization.”

According to Greenfield, even though the DWMH has just launched, its tripartite mission is already making a difference.

“Many of us in the division are treating women with disorders that commonly co-occur, such as eating disorders, trauma-related disorders, borderline personality disorder, and substance use disorders,” said Greenfield. “Our goal is to continue to enhance clinical care for women with these disorders through state-of-the-art treatment informed by research, as well as to investigate the neurobiological basis for these disorders and create educational models to train others regarding best practices in this field.”

Co-ChairsShelly F. Greenfield, MD, MPH Chief Academic Officer

Sherry Winternitz, MD Clinical Director, Dissociative Disorders and Trauma Program

Associate Program Director Dawn Sugarman, PhD Assistant in Psychology, Division of Alcohol and Drug Abuse

Blaise Aguirre, MD Medical Director, Adolescent DBT Center

Lois Choi-Kain, MD Medical and Program Director, McLean Gunderson

Esther Dechant, MD Medical Director, Klarman Eating Disorders Center

Amy Gagliardi, MD Medical Director, Gunderson Outpatient Program for Borderline Personality Disorder

Joseph Gold, MD Chief Medical Officer

Staci Gruber, PhD Director, Cognitive and Clinical Neuroimaging Core

Janna Hobbs, MSE, LICSW Director of Clinical Services, Dialectical Behavior Therapy Program

Michael Hollander, PhD Director of Training, Child and Adolescent Program

Cynthia Kaplan, PhD Associate Clinical and Administrative Director, Child and Adolescent Programs

Milissa Kaufman, MD, PhD Medical Director, Hill Center for Women

Andrea Killam, LICSW Program Director, Hill Center for Women

Stephanie Pinder-Amaker, PhD Director, College Mental Health Program

Thomas Weigel, MD Psychiatrist, Klarman Eating Disorders Center

Mary Zanarini, EdD Director, Laboratory for the Study of Adult Development

Sara Beth Wigderson Research Assistant


In 2011, thanks to a $300,000 anonymous donation, McLean launched the Women’s Mental Health Initiative,

which was the first step in developing the DWMH. Under the leadership of co-chairs Shelly F. Greenfield,

MD, MPH, chief academic officer, and Sherry Winternitz, MD, clinical director of the Dissociative Disorders

and Trauma Program, a steering committee was developed to help inform and structure what would

eventually become the DWMH.

“Through many hours of collaboration and conversation, the steering committee began developing

recommendations for a multidisciplinary approach to improving the mental health and well-being of girls

and women, integrating efforts throughout the clinical, research and training programs,” said Winternitz.

“Our work will be ongoing and, ultimately, we believe it will result in a strong, well-balanced division that

will enhance the hospital’s ability to better care for women.”

Thanks to those who spurred the DWMH

Women’s Mental Health Initiative Steering Committee

Felicia Smith, MD, and David Rubin, MD, are passionate about psychiatry. As the newly named directors of the Massachusetts General Hospital (MGH)/McLean Hospital Adult Psychiatry Residency Program and the MGH/McLean Child and Adolescent Psychiatry Residency Program, respectively, Smith and Rubin are dedicated to providing unparalleled training and guidance to tomorrow’s psychiatric leaders.

Both the child and adult training programs are among the most competitive and influential in the country, collectively drawing more than 1,000 applications annually. The adult residency training program accepts only 16 residents, while the child program only has nine available spots each year.

“Adult and child residency training at McLean has been designed to prepare resident physicians for the practice of psychiatry in the 21st century. The volume and the outstanding

quality of our applicants reflect our reputation and our relevancy in the field,” said Smith.

“We have designed this program to foster the development of well-rounded, competent psychiatrists. Above all, we value a serious and passionate commitment to the highest standards of patient care,” added Rubin, who himself is a 2006 graduate of the child residency training program.

Returning to McLean in 2013 after eight years as a site training director for the Child and Adolescent Psychiatry Training Program of Columbia and Cornell Universities, Rubin noted that he is grateful for the education that MGH/McLean provided him and is eager to impart equally good experiences to new generations of child psychiatrists.

“I absolutely loved my time at McLean. The expertise, understanding and compassion of those

From left: David Rubin, MD, and Felicia Smith, MD

eduCating the next generation


within the program—particularly then-director Gene Beresin—left an indelible mark on me and helped shape who I am today,” said Rubin. “There is no match for being trained by someone as passionate and decorated as Gene. Being able to take the reins from an icon in psychiatric training is simply an honor.”

Also no stranger to McLean, Smith is a graduate of the MGH/McLean Adult Psychiatry Residency Program. Following graduation, she remained on staff and, in 2008, was named director of the Acute Psychiatry Service at MGH. It was in this role that she grew her strong interest in medical education, as it allowed her to help guide psychiatric residents, psychology interns and medical students. When the opportunity to become the program director for the Adult Psychiatry

Residency Program presented itself, Smith knew that this was her chance to make an even larger difference.

“The Adult Psychiatry Residency Program has a long history of excellence. It is a privilege to be able to serve as the director and I look forward to keeping us at the forefront of psychiatric training and involved in the latest methods of delivering the best in mental health care.”

Rubin is also excited about the possibilities that he can create in his new position. “I fully intend to preserve the spirit of the program while continuing to evolve with the field of psychiatry. I feel that this is the only way in which we can ensure that McLean remains the premier destination for pediatric psychiatric training and care.”


Reaching a new audience through social media

In 2013, United States President Barack Obama

called for a national dialogue about mental health.

In support of the president’s charge, McLean

Hospital launched its first social media campaign

with the goal of encouraging more public

conversation about mental health and

reducing the stigma that is often

associated with psychiatric illness.

“President Obama’s call to

openly talk about mental

illness gave us the idea to

ask everyone to promise

to start one conversation

about mental health,”

said Jenna Brown, social

media manager for McLean.

“We asked our followers

on Facebook and Twitter

to openly engage with us by

pledging to share their stories,

photos and videos about the importance

of talking shamelessly about mental health issues.”

Using the moniker #startwithone, the six-week

campaign met its goal of increasing traffic to the

hospital’s social media pages and encouraging

awareness and engagement. As a follow-up to

the campaign, McLean participated in the global

web screening of Hidden Pictures, an award-

winning film about global mental health. The

innovative media event, titled 1 Film, 1 Worldwide

Discussion, brought together a broad group of

international organizations and advocates who

hosted live and online screenings of Hidden

Pictures in an effort to create a global

dialogue about mental health issues.

Delaney Ruston, a physician and

filmmaker who grew up in

the shadow of her father’s

schizophrenia, produced

the film and spoke at an

event for McLean’s National

Council—supporters of

the hospital who serve as

ambassadors—in the fall of 2013.

“From my own personal

experience, I know too well the

obstacles to getting timely services

and treatment for mental illness,” said

Ruston. “Filming people around the world has

exposed the shared struggles faced by the 450

million people living with mental illness worldwide.

I hope that by telling their stories and spotlighting

moments of profound compassion, we can

spark a dialogue and begin to create change.”

Follow McLean on Twitter @McLeanHospital

or on Facebook at McLean Hospital.

Social skills: using social media, McLean is helping to start more conversations about mental health

Joseph Coyle earns the Julius Axelrod PrizeMcLean Hospital Chief Scientific Officer Joseph Coyle, MD, was recognized by the Society for Neuroscience (SfN) with the Julius Axelrod Prize during its annual conference in November 2013. The Julius Axelrod Prize recognizes exceptional achievements in neuropharmacology and in mentoring young scientists.

“Dr. Coyle is an outstanding neuroscientist and psychiatrist who has devoted his career to probing the underlying causes of psychiatric disorders and proposing innovative therapeutic interventions,” said Larry Swanson, PhD, president of SfN. “At the same

time, he has demonstrated a lifelong commitment to training researchers and clinicians alike.”

Coyle’s research has contributed greatly to the understanding of the neuronal changes associated with psychiatric and neurodegenerative disorders and suggested novel therapies to treat them. Coyle demonstrated that changes in a particular group of cells in the basal forebrain are associated with Alzheimer’s disease, opening up a new avenue of treatment. His current research focuses on the negative symptoms and cognitive deficits associated with schizophrenia.

From left: Joseph Coyle, MD, and Shelly F. Greenfield, MD, MPH

MClean leaderS draw aCColadeS


Greenfield honored with Smithers AwardChief Academic Officer Shelly F. Greenfield, MD, MPH, recently received the R. Brinkley Smithers Distinguished Scientist Award from the American Society of Addiction Medicine. Established in 1995, the Smithers Award recognizes individuals who have made highly commendable contributions in the advancement of scientific understanding of the prevention and treatment of alcoholism.

“This award is well-deserved for Dr. Greenfield, who is nationally recognized for her research on substance use disorders, particularly in the areas of women’s treatment and health services. Her work has not only influenced addiction treatment and research

here at McLean but also has had widespread reach around the country,” said Roger Weiss, MD, chief of the Division of Alcohol and Drug Abuse at McLean.

Greenfield is the principal investigator and co-investigator on multiple federally funded research projects focusing on treatment for substance use disorders, gender differences in substance disorders and health services for substance disorders. In addition, she is the chair of the National Institute on Drug Abuse Clinical Trial Network’s Gender Special Interest Group, editor-in-chief of the Harvard Review of Psychiatry and vice president of the American Academy of Addiction Psychiatry.

New mobile website brings info to people on the go

In September 2013, the hospital launched a user-friendly, visually appealing way for patients,

families, visitors, staff, and referral sources to obtain information while on the go. Anyone can now

pick up a smartphone or tablet and visit mcleanhospital.org to experience the new McLean

mobile website.

According to Ian Dowe, director of Marketing and Outreach, the site was launched with consumers

in mind. “We are working to make McLean more accessible and welcoming, and we wanted to

create a site that would answer people’s questions and quickly get them the information they

needed,” said Dowe.

Mobile website features: n Information about McLean’s programs, services and schoolsn Mapping and directions for both Belmont and McLean SouthEast campus locationsn One-touch calling for admissions and hospital servicesn Frequently Asked Questions (FAQs) about the admissions processn Current listing of hospital news and upcoming eventsn Easy access to the full McLean website for more information

“People are spending more and more time using their phones

and tablets to access the web. By identifying what information

our visitors were typically searching for, we created mobile-

friendly content that could be easily read on these devices,”

said Public Affairs Strategist Scott O’Brien, who, along with

Dowe and Senior Director of Business Development Nancy

Hoines, MPH, spearheaded the project.

From left: Ian Dowe, director of Marketing and Outreach, and Scott O’Brien, public affairs strategist


Rose-Marie and Eijk van Otterloo want to make a difference in the lives of people with psychiatric illness and in the lives of their families. As longtime supporters of McLean Hospital, they have consistently been strong proponents of the hospital’s dedication to psychiatric care, research and education.

In 2013, in an effort to encourage others to support McLean and to recognize the pivotal role of the president and psychiatrist in chief, the van Otterloos made a generous gift to establish the Rose-Marie and Eijk van Otterloo Endowed Chair of Psychiatry at McLean Hospital.

“McLean is a great organization with a fantastic leader in Scott Rauch,” said Rose-Marie, who served on the McLean Board of Trustees for four years and is currently chair of the McLean National Council. “From the day Scott arrived, he started working on his vision for McLean’s future. Under his leadership, McLean has launched innovative new programs, adopted a divisional structure and risen in status to the number one hospital for psychiatry in the country. Through this endowed chair, we are giving him the resources he needs to continue to implement such positive change.”

According to David S. Barlow, chairman of the McLean Board of Trustees, an endowed chair is one of the highest honors in academic medicine and provides vital, long-term resources to an organization. With the addition of the van Otterloo gift, McLean now has three endowed chairs.

“I am deeply grateful to Eijk and Rose-Marie for their tremendous generosity in making this transformational gift. These resources will very significantly enhance

our ability to deliver on McLean’s mission, in perpetuity,” said Rauch.

The van Otterloos first became involved with McLean more than 15 years ago after their son came to the hospital for treatment. Since that time, Rose-Marie and Eijk have been staunch supporters of the hospital as well as active and vocal mental health advocates.

“We have a goal of educating the public and encouraging people to talk about mental illness. It is OK to say that I have a mother with mental illness, that I have an aunt with mental illness, that I have a son with mental illness,” said Rose-Marie.

“Attaching our name to an endowed chair gives a message that our family—like so many others—has been personally affected by mental illness,” added Eijk, who along with his wife, has been a member of McLean’s National Council since its inception in 2002. “We want everyone to know mental illness is an important issue that needs to be openly discussed.”


endowed Chair ProvideS reSourCeS to deliver on MClean’S MiSSion

From left: Eijk and Rose-Marie van Otterloo


For information about the Mary Belknap Society, please contact Kristin Kilbourne at 617.855.3644

or [email protected].

Mary Belknap Society The Mary Belknap Society honors donors who make unrestricted gifts

of $1,000 or more to McLean each year.

Recurring annual gifts provide crucial resources to strengthen clinical

services, seed novel research, and recruit and train talented faculty—

all with the goal of better serving individuals and families who are affected by mental illness.

We extend our deepest gratitude to the following members of the Mary Belknap Society for their

generosity in 2013 (gifts received January 1–December 31, 2013).

The Mary Belknap Society is named in recognition of Mary Belknap, who in 1832 left McLean Hospital a

bequest of property and cash that totaled nearly $90,000 and helped fund a new building for female

patients. Belknap’s gift was one of the largest from an individual donor in the hospital’s early years,

second only to that of Boston merchant John McLean, the hospital’s namesake.

Dr. Carmela and Mr. Menachem Abraham

Elsie Adler

Daniel and Louise Ahearn

Anonymous (4)

Mr. and Mrs. Paul Antico

Mr. and Mrs. Angelo R. Arena

Jeanne and Bill Armocida

Charles D. Baker

David S. Barlow

Skip and Joan Barry

The Alben F. Bates and Clara G. Bates Foundation

Robert Beckwitt

Franklin M. Berger

Lisa and Josh Bernstein

Jeanne Blake

Margaret and David Blakelock

Maria and Stephen Blewitt

Barbara and Bill Boger

Betty R. Brudnick

David Edward Patrick Calderone

Ann Carter

Peter and Julie Clay

Jane Condon and Ken Bartels

Catharine Cook and S. Robert Stone, Jr.

Tom and Pat Cronin

Louis and Hope Crosier

Theodore Cross Family Charitable Foundation

Prudence S. and William M. Crozier, Jr.

Christine and Richard Curran

Edith L. Dabney and the John H. Knowles Family

Andre and Marilyn Danesh

Mr. Nelson J. Darling, Jr.

Mary Ann and Ed Davidson

Dr. Steven M. Mirin and Dr. Margaret S. McKenna

Lucia B. Morrill Foundation

Caterina K. Nelson

The Reverend Dr. Barbara H. Nielsen

Ford and Kate O’Neil

Janet Palmer

Joseph L. Parker, Jr.

Helen F. Peters and J. Garrett Parker

Bob and Carroll Pierce

Samuel Plimpton and Wendy Shattuck

James and Patricia Poitras

Jennifer and Ted Porter

Kathy and George Putnam

Hank and Susan Rauch

Drs. Scott Rauch and Gretchen Kind

Louise C. Riemer

Dr. and Mrs. Auguste E. Rimpel, Jr.

Jeanne and Sanford Robertson

Patrick B. Sands Family

Dr. Marilyn Sarles and Mr. H. Jay Sarles

Deirdre and Skip Snyder

Dorothy Sprague

Amy Starck and Jack Cogen

Mr. and Mrs. Stuart J. Steele

Mr. and Mrs. Joseph E. Swan

Mrs. Thomas Swan

Mr. Thomas J. Swan III

Nick and Joan Thorndike

Kristine and Joseph Trustey

Pamela W. Turner

Wat and Jane Tyler

Carol Vallone and Edward Halsted

Rose-Marie and Eijk van Otterloo

Kay Kimpton Walker

Ted and Janet Werth

Lucy B. Wilton, RN, CPhT

Nancy Dearman

David and Holly Dreman

Stephen and Mary Ann Ehrlich

Lori Etringer and Tony Cheng

Joel M. Fairman

Kathleen and Martin Feldstein

Barbara and Reginald Foster

Susan and David Fowler

Catherine Fullerton and Tom Hancock

Doris and Arnold Glaberson

Thomas Glynn and Marylou Batt

Patricia and David Grayson

Drs. Shelly F. Greenfield and Allan M. Brandt

Mrs. Ralph Griffin

Nan and Bill Harris

Walter F. Harrison III

Dorothy L. Hilliard Reserve Trust

Howland Family Foundation

Janitronics Building Services

Sally Jenks

Rick and Nancy Kelleher

Stephen W. Kidder and Judith A. Malone

The Klarman Family Foundation

Fred S. and Celia Kogod Foundation

Mr. and Mrs. Edward P. Lawrence

Mary and Bob Lentz/McCall & Almy, Inc.

Wallace M. Leonard Foundation

Dr. Philip G. Levendusky and Ms. Cynthia A. Becton

Carol and Albert Lowenthal

Stacey and Larry Lucchino

Monica Luke

The Mannheim Family

Peter and Kathy Markell

Cynthia McClintock

Gordon and Leslie Miller


waYS to give

Improving Lives, Together

Every year, donors like you make a difference in the lives of people affected by psychiatric

illness. These are some of the ways your philanthropy can have an impact at McLean:

Annual Giving and the Mary Belknap Society

Unrestricted gifts to the McLean Fund support a wide range of programs and help launch initiatives that may not have been possible without philanthropy. A leadership gift of $1,000 or more qualifies you for membership in the Mary Belknap Society.

Targeted Giving

Whether a research fellowship, a capital project or clinical care, you can target your gift directly to the program at McLean that is most meaningful to you. A development officer can help identify the funding opportunity that best matches your philanthropic interest.

Tribute Giving

A tribute gift to McLean is a special way to honor a loved one, thank a special caregiver or celebrate a milestone. You decide how best to honor the occasion and we will notify your honoree of your generosity.

Legacy Giving and the John McLean Society

There are many ways to leave a long-lasting legacy at McLean through your estate plan. By joining the John McLean Society, you will become part of a special group of generous donors who will support the hospital through planned giving.

To learn more or to give to McLean today, visit

mcleanhospital.org/gift

or contact McLean Hospital Development Office | 115 Mill Street, Belmont, MA 02478

617.855.3415

[email protected]


finanCialSFor the fiscal years ending September 30, 2013, and September 30, 2012. In thousands of dollars.

Income Statement FY2013 FY2012Revenues Net patient revenue $ 122,250 $ 117,668 Other operating revenue 60,526 59,441 Total revenues 182,776 177,109

Expenses Employee compensation, benefits, supplies and other 170,825 162,894 Depreciation and amortization 7,181 7,277 Interest 1,674 1,063 Total operating expenses 179,680 171,234 Income/(loss) from operations $ 3,096 $ 5,875 Total non-operating gains/(expenses) 347 381 Excess of revenues over expenses $ 3,443 $ 6,256

Balance Sheet FY2013 FY2012Assets Cash and investments $ 7,912 $ 13,991 Patient accounts receivable 11,078 9,435 Other current assets 26,939 18,061 Total current assets 45,929 41,487Investments limited as to use 850 820Long-term investments 459 118Property and equipment, net 55,218 56,127Other assets 91,291 80,682 Total assets $ 193,747 $ 179,234

Liabilities and net assets Accounts payable and accrued expenses $ 18,179 $ 18,371 Current portion of accrual for settlements with third-party payers 250 375 Unexpended funds of research grants 3,287 2,280 Total current liabilities 21,716 21,026 Other long-term liabilities 6,153 6,885 Long-term debt 36,024 28,280

Net assets 129,854 123,043 Total liabilities and net assets $ 193,747 $ 179,234

ServicesAverage Inpatient Beds in Service: 177

Admissions: 5,962

Inpatient Days: 56,910

Partial Hospital Days: 38,362

Partial Hospital Visits: 194,846

Outpatient Visits: 40,465

Child/Adolescent Days: 11,642

Residential Days: 28,545

StaffingPhysicians and Psychologists: 218

Residents: 26 Fellows: 54

Nurses: 175

Clinical Social Workers: 109

Mental Health Specialists and Community Residence Specialists: 302

Other: 577

Total FTEs: 1,461

MClean by the nuMBerSOctober 1, 2012 to September 30, 2013


leaderShiP

Trustees

David S. Barlow, chair

Jeanne Blake

John F. Brennan, Jr.

Thomas P. Glynn, PhD

Richard M. Kelleher

Stacey Lucchino

Peter K. Markell

Robert W. Pierce, Jr.

Jennifer L. Porter

Scott L. Rauch, MD

Auguste E. Rimpel, Jr., PhD

W. Lloyd Snyder III

Carol A. Vallone

Honorary Trustees

Charles D. Baker

Betty Brudnick

Ferdinand Colloredo-Mansfeld

Edith L. Dabney

Kathleen F. Feldstein, PhD

John Kaneb

Edward P. Lawrence, Esq

George Putnam

Kenneth R. Rossano

W. Nicholas Thorndike

Rose-Marie van Otterloo

President’s Cabinet

Scott L. Rauch, MD President and Psychiatrist in Chief

Sabina Berretta, MD Director, Translational Neuroscience Laboratory

Catharine Cook Senior Vice President and Chief Development Officer

Janna Hobbs, MSE, LICSW Director of Clinical Services, 3East Continuum of Care

Linda Flaherty, RN/PC Senior Vice President for Patient Care Services

Brent Forester, MD, MSc Director, Mood Disorders Division, Geriatric Psychiatry Research Program

Catharyn Gildesgame, MBA Director of Strategic Implementation

Joseph Gold, MD Chief Medical Officer

Michele Gougeon, MSS, MSc Executive Vice President and Chief Operating Officer

Shelly F. Greenfield, MD, MPH Chief Academic Officer

David A. Lagasse, MA, MHSA Senior Vice President for Fiscal Affairs

Philip G. Levendusky, PhD Senior Vice President for Business Development and Communications

Mark Longsjo, MSW, LICSW Program Director, McLean SouthEast

Peter A. Paskevich, MA Senior Vice President for Research Administration

We dedicate ourselves each and every day to McLean’s mission of clinical care, scientific discovery, professional training and public education in order to improve the lives of people with psychiatric illness and their families.

In all of our work, we strive to: conduct ourselves with unwavering integrity; demonstrate compassion and respect for our patients, their families and our colleagues; foster an environment that embraces diversity and promotes teamwork; achieve excellence and ever-better effectiveness and efficiency through innovation.

diversityrespect

compassionintegrity

excellenceteamwork

innovation

our valueS

Executive Editor: Adriana M. Bobinchock | Managing Editor: Scott J. O’Brien

Writers: Adriana M. Bobinchock and Scott J. O’Brien

Principal Photographer: Patrick O’Connor | Design: SteveCloseCreative

www.mcleanhospital.org Twitter: @McLeanHospital Facebook: McLean Hospital

Please write to the Public Affairs Office at 115 Mill Street, Belmont, MA 02478

if you wish to have your name removed from the McLean distribution list.

© 2014 McLean Hospital

a Year of StorieS

McLean Hospital is the largest psychiatric affiliate of Harvard Medical School and a member of Partners HealthCare.

Documents

a Year of StorieS - McLean Hospital · to take the next step. Fortunately, while I was coming to this realization, McLean was performing a national search for an assistant professor